Organization
LAKE CUMBERLAND RHEUMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT ROGERS MHA (CEO)
(502) 495-3665
Entity
Organization
Contact information
Practice address
101 PROSPEROUS PL STE 350, LEXINGTON, KY 40509-1891
(859) 654-0160
(859) 712-9273
Mailing address
101 PROSPEROUS PL STE 350, LEXINGTON, KY 40509-1891
(859) 654-0160
(859) 712-9273
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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